Provider Demographics
NPI:1669187431
Name:MENTAL HEALTH COUNSELING BY KHANA KLEYN PLLC
Entity type:Organization
Organization Name:MENTAL HEALTH COUNSELING BY KHANA KLEYN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEYN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:720-300-2513
Mailing Address - Street 1:1284 E 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-5404
Mailing Address - Country:US
Mailing Address - Phone:720-300-2513
Mailing Address - Fax:
Practice Address - Street 1:2361 NOSTRAND AVE STE 101
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3952
Practice Address - Country:US
Practice Address - Phone:718-313-5557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-17
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty